ArticleEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society2022
Effect of surgical stabilization of rib fractures in polytrauma: an analysis of the TraumaRegister DGU
Article in European journal of trauma and emergency surgery : official publication of the European Trauma Society, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Guideline
- The effectiveness of early surgical stabilization for multiple rib fractures: a multicenter randomized controlled trial.Journal of cardiothoracic surgery · 2023Trial
- Rapid sequence versus early surgical stabilization of severe chest wall injuries: a propensity score-matched analysis from a multicenter trauma registry.Critical care (London, England) · 2026Article
- Surgical stabilization of flail chest: a retrospective evaluation of clinical outcomes and injury score predictive validity.Updates in surgery · 2026Article
- The impact of injury severity and age on short-and long-term mortality and hospital length of stay after surgical stabilisation of rib fractures (SSRF): a German population-based propensity-score matched investigation.World journal of emergency surgery : WJES · 2026Article
- Surgical stabilisation of rib fractures in non-ventilated patients: a retrospective propensity-matched analysis using the data from the trauma registry of the German Trauma Society (TraumaRegister DGUEuropean journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Observational
- Biomechanics of flail chest injuries: tidal volume and respiratory work changes in multiple segmental rib fractures.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2025Article
- Do we have to redefine type B-fractures of the rib cartilage?European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Article
- [Treatment strategy for an unstable chest wall after cardiopulmonary resuscitation].Unfallchirurgie (Heidelberg, Germany) · 2024Review
- [Surgical reconstruction of chest wall instability : Indications, contraindications and timing of surgery].Unfallchirurgie (Heidelberg, Germany) · 2024Review
- Surgical management of multiple rib fractures in polytrauma patients: semi-damage control surgery.International journal of medical sciences · 2024Article
- Impact of Time of Surgery on the Outcome after Surgical Stabilization of Rib Fractures in Severely Injured Patients with Severe Chest Trauma-A Matched-Pairs Analysis of the German Trauma Registry.Frontiers in surgery · 2022Article
Corrections and comments
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Authors and funding
9 authors.
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No grant is acknowledged in the PubMed record.
Abstract
purposeIn severely injured patients with multiple rib fractures the beneficial effect of surgical stabilization is still unknown. The existing literature shows divergent results and especially the indication and the right timing of an operation are subject of a broad discussion. The aim of this study was to determine the influence of a surgical stabilization of rib fractures (SSRF) on the outcome in a multi-center database with special regard to the duration of ventilation, intensive care and overall hospital stay.
methodsData from the TraumaRegister DGU
resultsIn total 483 patients received an operative treatment and 29,447 were treated conservatively. SSRF was associated with a significantly lower mortality rate (7.6% vs. 3.3%, p = 0.008) but a longer ventilation time and longer stay as well as in the intensive care unit (ICU) as the overall hospital stay. Both matched pair groups showed a good or very good neurological outcome according to the Glasgow Outcome Scale (GOS) in 4 of 5 cases. Contrary to the existing recommendations most of the patients were not operated within 48 h.
conclusionsIn our data set, obviously most of the patients were not treated according to the recent literature and showed a delay in the time for operative care of well over 48 h. This may lead to an increased rate of complications and a longer stay at the ICU and the hospital in general. Despite of these findings patients with operative treatment show a significant lower mortality rate.
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